Effectiveness and cost-effectiveness of incentives as a tool for prevention of non-communicable diseases: A systematic review

Finkelstein, Eric and Bilger, Marcel ORCID: https://orcid.org/0000-0002-2872-6597 and Baid, Drishti (2019) Effectiveness and cost-effectiveness of incentives as a tool for prevention of non-communicable diseases: A systematic review. Social Science and Medicine, 232. pp. 340-350. ISSN 0277-9536

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Abstract

The rising epidemic of non-communicable diseases (NCDs) poses substantial health and economic challenges to both individuals and society. Application of incentive-based strategies based on traditional and behavioural economic theory has emerged as a potential strategy to address rising rates of NCDs. Yet, whether or not incentives truly represent a promising strategy for addressing NCDs has not been systematically addressed nor is it clear whether certain behavioural economic strategies outperform others or simply offering a cash-based incentive for meeting a goal. In this systematic review we aim to determine whether there is an evidence base for any of these strategies. Forty-eight published randomized controlled trials (70 contrasts) evaluating the effectiveness of incentive-based strategies for improvements in NCD risk-factors were reviewed. Our primary conclusion is that there is a lack of compelling evidence that incentives of any form represent a compelling NCD reduction strategy. More evidence for long-term effectiveness and cost-effectiveness is needed to justify third party funding of any incentive based strategy.

Item Type: Article
Keywords: non-communicable disease, Smoking, Weight loss, Diet, Alcohol Physical activity, RCT, Cost-effectiveness, Incentive
Divisions: Departments > Sozioökonomie > Sozialpolitik > Health Economics and Policy
Version of the Document: Published
Depositing User: Gertraud Novotny
Date Deposited: 15 Jan 2020 07:53
Last Modified: 15 Jan 2020 13:51
Related URLs:
FIDES Link: https://bach.wu.ac.at/d/research/results/91245/
URI: https://epub.wu.ac.at/id/eprint/7419

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